Provider Demographics
| NPI: | 1396322467 |
|---|---|
| Name: | TOP CARE MEDICAL MANAGEMENT SERVICES INC. |
| Entity type: | Organization |
| Organization Name: | TOP CARE MEDICAL MANAGEMENT SERVICES INC. |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | MANAGER |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | IRFAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | HAYAT |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 347-388-0351 |
| Mailing Address - Street 1: | 1150 WEBSTER AVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | BRONX |
| Mailing Address - State: | NY |
| Mailing Address - Zip Code: | 10456-5205 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 347-271-7666 |
| Mailing Address - Fax: | 347-271-7268 |
| Practice Address - Street 1: | 1150 WEBSTER AVE |
| Practice Address - Street 2: | |
| Practice Address - City: | BRONX |
| Practice Address - State: | NY |
| Practice Address - Zip Code: | 10456-5205 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 347-271-5338 |
| Practice Address - Fax: | 347-271-7268 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2021-03-25 |
| Last Update Date: | 2024-04-01 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | Group - Multi-Specialty |
| No | 111NR0400X | Chiropractic Providers | Chiropractor | Rehabilitation | Group - Multi-Specialty |
| No | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | Group - Multi-Specialty | |
| No | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology | Group - Multi-Specialty |
| No | 2081P2900X | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | Pain Medicine | Group - Multi-Specialty |
| No | 208800000X | Allopathic & Osteopathic Physicians | Urology | Group - Multi-Specialty | |
| No | 208VP0000X | Allopathic & Osteopathic Physicians | Pain Medicine | Pain Medicine | Group - Multi-Specialty |
| No | 208VP0014X | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine | Group - Multi-Specialty |
| No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Group - Multi-Specialty | |
| No | 363LP2300X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Primary Care | Group - Multi-Specialty |
| No | 213EP1101X | Podiatric Medicine & Surgery Service Providers | Podiatrist | Primary Podiatric Medicine | Group - Multi-Specialty |
| No | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Group - Multi-Specialty | |
| No | 363LX0001X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Obstetrics & Gynecology | Group - Multi-Specialty |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| NY | 02162021 | Other | PRIMARY CARE MULTI-SPECIALTIES DIAGNOSTICS |